Yu dɔktɔ dɔn tɛl yu ɔ pɔsin we yu sabi fɔ gɛt ɔpreshɔn fɔ gɛt kansa na yu rεktal? Na nɔmal tin fɔ fil fɔ fred ɛn wɔri na tɛm lɛk dis. Ɛspɛshali we yu no se na big ɔpreshɔn lɛk ‘APR’. Bɔt nɔ wɔri. If yu no gud gud wan bɔt dɛn kayn ɔpreshɔn ya, dat kin mek yu nɔ fred bad bad wan. Tide, wi go tɔk bɔt wetin na APR, aw fɔ pripia fɔ am, ɛn wetin fɔ ɛkspɛkt afta di ɔpreshɔn.
Fɔ tɔk am simpul wan, wetin na dis APR ɔpreshɔn?
Abdominoperineal Resection, we dεn kכl bak APR, na big כpεrayshכn we dεn kin du fכ trit kansa dεm na di lכw rεktum. Na ɔpreshɔn we dɛn kin du we nɔ izi fɔ du.
Tink bɔt am, di las pat pan wi dijestiv sistɛm na di an ɛn di rɛktum. Dipen pan usay di kansa de, fɔ pul di kansa sɛl dɛn kpatakpata, dɛn kin nid fɔ pul di say we de rawnd am bak. Fɔ tɔk di kɔrɛkt tin, we dɛn de du dis APR, yu dɔktɔ go du sɔm impɔtant tin dɛn:
- yu anus , di opin we di fes de kכmכt tru, dεn de kכl am kכmplit wan εn dεn de siw di εria.
- Dɛn kin pul yu rɛktum , we na di las pat pan yu big intestin.
- Dɛn go pul pat pan yu kɔlon bak .
Naw yu go de wɔnda se, "Aw a go defecate den?" Yɛs, na dat na di big difrɛns pan dis ɔpreshɔn. biכs dεn dכn pul di anכs, dεn nid fכ mek nyu rod fכ stכl kכmכt na di bכdi. Na dat mek dɛn kin du kɔlostomi we go de sote go .
Fɔ tɔk am simpul wan, dɛn kin tek di ɔda pat pan yu kɔlon ɛn di ɛnd pan am kin kɔnɛkt to di say we di skin de na yu bɛlɛ. Dɛn kɔl dis opin ‘stoma’ . afta dat, dεn kin tay wan spεshal bag (ostomy bag) pan dis stoma. Dɔn yu stɔl kin go dairekt insay dis bag. Dis kin bi nyu tin fɔs, bɔt as tɛm de go yu go yus to am. Speshal nɔs wokman dɛn de fɔ ɛp yu wit dis.
Di tin we impɔtant pas ɔl na dat dɛn kin du dis ɔpreshɔn fɔ mɛn yu pan di kansa kpatakpata. So di prɔblɛm na fɔ yus fɔ liv wit dɛn chenj ya.
Aw wi kin pripia bifo dɛn du di ɔpreshɔn?
Bikɔs APR na big ɔpreshɔn, i rili impɔtant fɔ rɛdi fɔ am. Yu mɛdikal tim go ɛksplen ɔltin to yu. Dis dɔŋ ya na sɔm pan di tin dɛn we kin apin we dɛn de pripia dis.
| Di tin dɛn we yu fɔ du fɔ pripia | Wetin kin apin to am? |
|---|---|
| Mɛdikal tɛst dɛn | Dɛn kin du blɔd tɛst, CT skan, ɛn MRI skan fɔ si if yu bɔdi go ebul fɔ bia di ɔpreshɔn. |
| Fɔ mit di mɛdikal tim | Yu go mit wit di dɔktɔ we de anestez, ɔda dɔktɔ dɛn we de du ɔpreshɔn, ɛn di wan dɛn we de kia fɔ yu wɛlbɔdi. |
| Mitin wit di Ostomy Nɔs | Dis na apɔntinmɛnt we rili impɔtant . Dis nɔs go ɛp yu fɔ pik di bɛst ples fɔ yu stoma, tich yu aw fɔ kia fɔ am, ɛn chenj yu paus. Nɔ fred fɔ aks ɛni kwɛstyɔn we yu go gɛt. |
| Di we aw pipul dɛn de liv dɛn layf kin chenj | If yu de smok, dɛn go aks yu fɔ stɔp fɔ smok sɔm wiks bifo dɛn du di ɔpreshɔn. Dɛn go aks yu fɔ avɔyd fɔ drink rɔm. Dɛn tin ya go ɛp di hiling prɔses bɔku. |
| Fɔ no bɔt di mɛrɛsin dɛn we dɛn tek | Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn ɛbul mɛrɛsin dɛn). Sɔm mɛrɛsin dɛn kin nid fɔ stɔp bifo dɛn du di ɔpreshɔn. |
| Slip Apnea we yu kin gɛt | If yu gɛt obstructive sleep apnea, mek shɔ se yu tɛl yu anesteziɔg. If yu yuz CPAP mashin, dɛn go aks yu fɔ kam wit am na ɔspitul di de we dɛn du di ɔpreshɔn. |
| Di it ɛn fɔ klin di bɔdi | Dɛn go aks yu fɔ it wata nɔmɔ di de bifo dɛn du di ɔpreshɔn. Di mɔnin we dɛn de du di ɔpreshɔn, dɛn go gi yu spɛshal wata (bowel prep) fɔ klin yu intestin ɔl. |
Wetin kin apin we dɛn de du di ɔpreshɔn?
Bikɔs yu de ɔnda jenɛral anestezi, yu nɔ go fil ɛnitin we dɛn de du di ɔpreshɔn. Yu go de slip fayn fayn wan. Di tim we de du di ɔpreshɔn go du dis ɔpreshɔn fɔ sɔm awa.
Bɔku tɛm, dɛn kin du dis ɔpreshɔn tu we dɛn:
1. Open Surgery: di tradishonal we dεn kin du am tru wan sכm lכng insishכn na di bεlε.
. Dis we fɔ du tin kin gɛt shɔt tɛm fɔ wɛl ɛn i nɔ kin mek i fil pen.
We dɛn de du di ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn kin pul di rɛktum, di an, ɛn pat pan di kɔlon usay di kansa de. na di sem tεm, dεn kin pul di limf no dεm we de rawnd di εria bak. dis na biכs na dεn limf no dεm ya na di say we di kεnsar sεl dεm kin spre. afta dat, lεk aw wi bin dכn tכk bכt, dεn de mek di stoma na di bכdi εn di skin usay di an bin de bifo dεn de sכm am εn klos am.
Wetin na di prɔblɛm dɛn we kin apin afta dɛn dɔn du di ɔpreshɔn?
Bikɔs APR na big ɔpreshɔn, lɛk ɛni big ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Bɔt nɔ wɔri, di mɛdikal tim de du dɛn bɛst fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn. I impɔtant fɔ no bɔt di prɔblɛm dɛn we kin apin.
- Blɔd: Blɔd kin kɔmɔt na di say we dɛn du di ɔpreshɔn.
- Infεkshכn: Infεkshכn kin apin we yu kכt כ insay di bכdi.
- Blɔd we de klɔt: Blɔd kin kam na di leg ɛn travul go na di lɔng dɛn. Fɔ mek dis nɔ apin, dɛn kin advays yu fɔ waka kwik kwik wan afta dɛn dɔn du di ɔpreshɔn.
- Di ɔgan dɛn we de rawnd am: Smɔl chans de fɔ mek di ɔgan dɛn we de rawnd di say we dɛn de du di ɔpreshɔn, lɛk di blad pwɛl.
- Prɔblɛm dɛn we gɛt fɔ du wit anestezi: Di risk fɔ gɛt siriɔs prɔblɛm lɛk nyumonia, at atak, ɛn strok rili smɔl, bɔt i fayn fɔ no bɔt dɛn.
Sɔmtɛm, sɔm prɔblɛm dɛn kin de we kin te fɔ lɔng tɛm we kin apin as tɛm de go. fכ egzampl, εnia kin kam arawnd di stoma. i kin bi bak se di pεrinial hεnia de usay dεn dכn pul di an.
Wetin kin apin na ɔspitul afta dɛn dɔn du di ɔpreshɔn?
Afta di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ sɔm dez. Insay dis tɛm, di mɛdikal tim go tek kia gud wan fɔ mek yu wɛl.
- Tiub ɛn tiub: Dɛn go put kateshɔn fɔ mek yu urine kɔmɔt. Dɛn go put dreyn bak na yu bɛlɛ fɔ pul ɛni wata we gɛda na di say we dɛn du di ɔpreshɔn. Dɛn go pul dɛn tin ya insay sɔm dez.
- Di tin dɛn we dɛn kin yuz fɔ mɛn pen:Dɛn go gi yu mɛrɛsin as nid de fɔ kɔntrol di pen.
- Fɔ it: Afta dɛn dɔn du di ɔpreshɔn, dɛn go gi yu wata fɔ drink fɔs. Yu kin bigin fɔ it tin dɛn we saf lɛk sup ɛn yogɔt di nɛks de.
- Wach: Fɔ grap na bed kwik kwik wan ɛn waka rawnd rili impɔtant fɔ di hiling prɔses. I kin ɛp fɔ mek tin dɛn lɛk fɔ mek blɔd nɔ klɔt.
- Ostomy trenin: Dis na di impɔtant trenin we yu go gɛt na ɔspitul. Di ostomy nɔs go kam tich yu aw fɔ kia fɔ yu nyu stoma, chenj di paus, ɛn kip yu skin klin. Nɔ fred fɔ aks bak ɛn bak te yu ɔndastand. Aks wan famili mɛmba fɔ jɔyn yu dis tɛm. Da we de, yu go gɛt pɔsin fɔ ɛp yu we yu go na os.
Dɛn go alaw yu fɔ go na os we yu ebul fɔ it sɔft it, kɔntrol di pen wit mɛrɛsin na os, ɛn fil se yu gɛt kɔnfidɛns fɔ kia fɔ yu ostomy fɔ yusɛf.
Aw na di tɛm fɔ wɛl afta yu dɔn go na os?
I go tek sɔm tɛm fɔ mek yu wɛl bak afta yu dɔn go bak na os. Insay dis tɛm, lisin to yu bɔdi. If yu taya, rɛst.
| Tin dɛn we yu nɔ fɔ du | Rizin ɛn advays |
|---|---|
| Stand insay di wata | I nɔ fayn fɔ was ɔ yuz swimin pul te di wund dɛn wɛl. Bɔt fɔ shaw na fayn tin. |
| We yu de lif di wet | Nɔ es di wet fɔ 6-8 wik. We yu es di wet, dat kin mek yu gɛt hεnia. |
| Fɔ drayv | Nɔ drayv te yu dɔn tek nakotik pen mɛrɛsin. Dɔn bak, nɔ drayv te yu biliv se yu go ebul fɔ brek kwik kwik wan we ɛnitin apin. |
If yu gɛt wok, i kin tek sɔm wik ɔ wan mɔnt fɔ go bak na wokples, i kin dipen pan aw yu wund dɛn kin wɛl ɛn di kayn wok we yu de du.
Ustɛm fɔ kɔl di dɔktɔ
If yu gɛt ɛni prɔblɛm we yu de wɛl, kɔl yu dɔktɔ ɔ di ɔspitul usay dɛn du yu ɔpreshɔn wantɛm wantɛm. Mek shɔ se yu ripɔt ɛni wan pan dɛn sik ya:
- Bɔrku pen na yu bɛlɛ wae yu nɔr kin ebul fɔ kɔntrol ivin wit mɛrɛsin wae de mek yu fil pen.
- Fiva. Fiva we kin rich 38.6 digri sɛlshiɔs (101.5 Faynheit) ɔ pas dat.
- If yu de vɔmit ɛn nɔs de kɔntinyu.
- Kɔnstipɛshɔn ɔ dayarɛa.
- If di say dɛn we dɛn kɔt am rɛd, swel, ɔ i de fil pen .
- If yu gɛt ɛni prɔblɛm ɔ prɔblɛm wit yu ostomy .
APR ɔpreshɔn na tin we kin chenj in layf. I go tek tɛm fɔ mek yu yus to am. Tɔk to yu dɔktɔ, yu fambul, ɛn padi dɛn bɔt wetin de mɔna yu, wetin yu de fred, ɛn aw yu de fil. Yu nɔ nid fɔ go tru dis waka yu wan.
Mɛsej we dɛn kin kɛr go na os
- APR (Abdominoperineal Resection) na impɔtant ɔpreshɔn we de sev layf fɔ kansa na di rεktal.
- insay dis כpεrayshכn, dεn kin pul di an εn di rεktum, εn dεn kin mek wan pεrmanεnt opin (kכlostomi) na di bεlε fכ mek di stכl pas.
- If yu pripia gud gud wan bifo yu du di ɔpreshɔn ɛn avɔyd fɔ smok ɛn drink rɔm, dat kin ɛp fɔ mek yu wɛl bad bad wan.
- Pan ɔl we fɔ lan aw fɔ kia fɔ wan ostomy kin at fɔs, as tɛm de go i kin bi pat pan ɛvride layf. Wit di ɛp we nɔs dɛn we dɛn dɔn tren spɛshal wan, .
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan we yu de wɛl. Nɔ es ebi ebi tin dɛn. If yu gɛt ɛni prɔblɛm, tɛl yu dɔktɔ wantɛm wantɛm.
- Dis na waka we nɔ izi fɔ waka, pan ɔl we na bɔdi ɛn maynd. Nɔ shek fɔ aks fɔ sɔpɔt frɔm yu mɛdikal tim, fambul, ɛn padi dɛn.











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